| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.62 | $111.06 | $149.61 | |
Aetna
| Professional | $73.79 | $107.58 | $120.71 | |
BCBS
| Facility | $168.48 | $287.83 | $404.58 | |
BCBS
| Professional | $114.90 | $137.43 | $137.43 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $100.43 | $100.43 | |
United
| Professional | $48.28 | $84.50 | $114.87 |